| Dr Ramiro A Pena, MD | |
|
180 Town Center Blvd Ste 400, Jarrell, TX 76537-4007 | |
| (512) 588-1501 | |
| (512) 287-5582 |
| Full Name | Dr Ramiro A Pena |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 180 Town Center Blvd Ste 400, Jarrell, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376692079 | NPI | - | NPPES |
| 113338102 | Medicaid | TX | |
| D1001 | Other | TX | MEDICAL LICENSE |
| 50EK | Other | TX | BCBS OF TEXAS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D1001 (Texas) | Secondary |
| 207Q00000X | Family Medicine | 74-1752692 (Texas) | Secondary |
| 207Q00000X | Family Medicine | 942244 (Texas) | Primary |
| Entity Name | White Coat Medical, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346909231 PECOS PAC ID: 1254719628 Enrollment ID: O20220526001612 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ramiro A Pena, MD 180 Town Center Blvd Ste 400, Jarrell, TX 76537-4007 Ph: (512) 588-1501 | Dr Ramiro A Pena, MD 180 Town Center Blvd Ste 400, Jarrell, TX 76537-4007 Ph: (512) 588-1501 |
Dr. Loyce J. Graham, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 181 Town Center Blvd Ste 300, Jarrell, TX 76537 Phone: 512-746-2690 Fax: 888-254-4802 | |
Matthew Altman, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 181 Town Center Blvd Ste 400, Jarrell, TX 76537 Phone: 512-746-2690 | |
Dr. Andrea Allen, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 181 Town Center Blvd Ste 300, Jarrell, TX 76537 Phone: 512-746-2690 Fax: 888-254-4802 | |
Dr. John Russell Bebeau, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 181 Town Center Blvd Ste 300, Jarrell, TX 76537 Phone: 512-746-2690 Fax: 888-254-4802 |